VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Barrow Center
790 Irisburg Road
Axton, VA 24054
(276) 806-2797

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: April 6, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING. 8VAC20-780 PHYSICAL PLANT 8VAC20-780 STAFFING AND SUPERVISION. 8VAC20-780 PROGRAMS. 8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES 8VAC20-780 SPECIAL SERVICES. 8VAC20-770 BACKGROUND CHECKS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE 63.2 CHILD ABUSE AND NEGLECT

Comments:

An unannounced non-mandated inspection, required by the Conditional License, was conducted on 04/06/2023. There were 6 children, ages 2 years-12 years, and 2 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies, and nutrition. The children were observed during free choice activities, having a morning snack, during outside large motor play, and having lunch. A total of 5 children?s records and 5 staff records were reviewed. The inspector arrived for the inspection at 8:30 am and departed at 11:50 am. Information gathered during the inspection determined non-compliance with applicable standards or laws and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on document review and staff interviews, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 2 contained a documented hire date of 02/26/2023. There was not an employment eligibility letter available for review during the 04/06/2023 inspection. Staff 2 was observed working during the 04/06/2023 inspection.
Plan of Correction:	The fingerprints were done. Will find/obtain documentation.
Standard #:	8VAC20-780-110-A
Description:	Based on record review, the center failed to ensure that for therapeutic child day programs, an individual assessment completed within 6 months before the child?s attendance or 30 days after the first day of attendance shall be maintained for each child. Evidence: 1. The record for Child 2 contained a documented start date of 02/22/2023. The record for Child 2 did not contain an individual assessment. 2. The record for Child 4 contained a documented start date of 02/13/2023. The record for Child 4 did not contain an individual assessment. 3. The record for Child 5 contained a documented start date of 02/06/2023. The record for Child 5 did not contain an individual assessment.
Plan of Correction:	Will have staff complete within 30 days.
Standard #:	8VAC20-780-140-A
Description:	Based on record review, the center failed to obtain documentation to ensure that each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child 2 contained a documented start date of 02/22/2023. There was not documentation of a physical examination in the record for Child 2. 2. The record for Child 5 contained a documented start date of 02/06/2023. There was not documentation of a physical examination in the record for Child 5.
Plan of Correction:	Will get the physicals.
Standard #:	8VAC20-780-60-A
Description:	Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: the work phone number and place of employment of each parent (there were places of employment for both parents listed but the work phone numbers were not provided); the name and phone number of the child?s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses of both designated people were incomplete); and names of persons authorized to pick up the child. 2. The record for Child 2 did not contain documentation of viewing proof of the child?s identity and age. 3. The record for Child 3 did not contain information regarding allergies and intolerance to medication or any other substances and actions to take in an emergency. 4. The record for Child 4 did not contain the following information: the work phone number and place of employment of each parent (there were places of employment listed for both parents but there was not a work phone number provided for the second parent); and the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an addressed provided for the second designated person). 5. The record for Child 5 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there were no addresses provided for either designated person).
Plan of Correction:	Will review records and get the information.
Standard #:	8VAC20-780-70
Description:	Based on record review, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: job title; name, address and telephone number of a person to be notified in an emergency; and documentation that two or more reference as to character and reputation as well as competency were checked before employment. 2. The record for Staff 2 did not contain the following information: name, address and telephone number of a person to be notified in an emergency; documentation that two or more reference as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. 3. The record for Staff 3 did not contain the following information: job title; name, address and telephone number of a person to be notified in an emergency; and documentation that two or more reference as to character and reputation as well as competency were checked before employment (there was only one reference available for review). 4. The record for Staff 4 did not contain the following information: job title; name, address and telephone number of a person to be notified in an emergency; and documentation that two or more reference as to character and reputation as well as competency were checked before employment (there was only one reference available for review). 5. The record for Staff 5 did not contain the following information: job title; and name, address and telephone number of a person to be notified in an emergency.
Plan of Correction:	Will review the records and get the missing information.
Standard #:	8VAC20-780-240-B
Description:	Based on record review, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record for Staff 1 contained a documented hire date of 04/03/2023. There was no documentation to verify that Staff 1 has completed orientation training. Staff 1 was working during the 04/06/2023 inspection. 2. The record for Staff 5 contained a documented hire date of 02/10/2023. There was no documentation to verify that Staff 5 has completed orientation training.
Plan of Correction:	Will provide orientation.
Standard #:	8VAC20-780-245-L
Description:	Based on record review and discussion with staff, the center failed to ensure that there shall at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: There was not a staff member on duty that has obtained instruction in performing the daily health observation of children.
Plan of Correction:	Will get all the staff trained.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was a can of Lysol spray and a container of disinfectant wipes on top of a filing cabinet in the first room on the right. Children were observed in the room during the inspection. 2. The cabinet where the cleaning supplies are stored in the second room on the right was not locked. There were various cleaning supplies in the unlocked cabinet. Children were observed in the room during the inspection.
Plan of Correction:	All cleaning supplies will be kept locked.
Standard #:	8VAC20-780-290-A-3
Description:	Based on observations, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: There were a total of 4 uncovered electrical outlets in the second room on the right. There were children of preschool age and younger observed in the room during the inspection.
Plan of Correction:	All outlet have been covered.
Standard #:	8VAC20-780-340-F
Description:	Based on observation, the center failed to ensure that children under 10 years of age always shall be within sight and sound supervision of staff. Evidence: Staff 1 was observed at the front door of the center. While Staff 1 was at the door, Child 1 was observed running from the classroom and going into another room of the center. Staff 2 left the classroom to retrieve Child 1. During that time there was not a staff member present with the 4 remaining children in the classroom; the children were not within sight and sound supervision of a staff member during this time.
Plan of Correction:	Children will remain in sight and sound supervision at all times.
Standard #:	8VAC20-780-500-A
Description:	Based on observations, the center failed to ensure that children?s hands shall be washed with soap and running water or a disposable wipe before and after eating meals or snacks. Evidence: The children did not wash their hands with soap and running water or a disposable wipe before eating lunch.
Plan of Correction:	Will wash hands or use a wipe before and after each meal.
Standard #:	8VAC20-780-500-B
Description:	Based on observation and discussion with staff, the center failed to ensure that a nonabsorbent surface for diapering or changing shall be used. Evidence: The changing pad in the diapering area was an absorbent foam pad and was covered with an absorbent cover. Staff 1 verified that the changing pad has been used previously.
Plan of Correction:	A new nonabsorbent pad was put in place during the inspection.
Standard #:	8VAC20-780-530-C
Description:	Based on record review and discussion with staff, the center failed to ensure that there shall be at least two staff members who have a current certification in CPR and first aid present on the premises during the center?s hours of operation, on fieldtrips and wherever children are in care. Evidence: Staff 1 was the only staff member present during the inspection that had a current certification in CPR and First Aid. Staff 2 verified that they did not have a current certification in CPR and first aid.
Plan of Correction:	There will be one person per group and at least 2 on site at all times.
Standard #:	8VAC20-780-560-G
Description:	Based on observation, the center failed to ensure that when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: There were various lunchboxes and cups from home in both of the classrooms that were not clearly dated and labeled in a way that identified the owner.
Plan of Correction:	All food from home will be labeled and dated.